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Search › Michigan › Mental Illness Community Based Residential Treatment Facility

Harold Rudolph

NPI 1346588076 · on the registry since 2013 · sole proprietor

Practice

Address
1852 W Grand Blvd
Detroit, MI 48208
Phone
(313) 894-8444
Fax
(313) 894-5542
Organisation at this address
Shar Inc
Shar Inc
Shar Inc.
Shar, Inc
Shar Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan